Bruce C Leitkam DO PC
General Practice Physician · Linden, MI
Practice location
490 W Broad StLinden, MI 48451-8862
- Phone
- (810) 735-1231
- Fax
- (810) 735-1092
NPI record
- NPI
- 1417268764
- Entity type
- Organization (Type 2)
- Enumeration date
- July 1, 2010
- Last updated
- July 1, 2010
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Physician Primary | 208D00000X |
BL006591 | MI |
Mailing address
490 W Broad StPO Box 605
Linden, MI 48451-8862
- Phone
- (810) 735-1231
- Fax
- (810) 735-1092
Authorized official
- Name
- Dr. Bruce Calvin Leitkam, DO
- Title
- Owne
- Phone
- (810) 735-1231
About Bruce C Leitkam DO PC
Bruce C Leitkam DO PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 490 W Broad St, Linden, MI 48451-8862. The NPI number 1417268764 was assigned on July 1, 2010 and the record was last updated on July 1, 2010.
Bruce C Leitkam DO PC lists a license in the registry: #BL006591 (MI) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Dr. Bruce Calvin Leitkam, DO, Owne.
Frequently asked questions
What is the NPI number of Bruce C Leitkam DO PC?
The NPI number is 1417268764.
What is the phone number of Bruce C Leitkam DO PC?
The phone number listed for the practice location is (810) 735-1231.
Where is Bruce C Leitkam DO PC located?
490 W Broad St, Linden, MI 48451-8862.
What is the taxonomy code for Bruce C Leitkam DO PC?
The primary taxonomy code is 208D00000X – General Practice Physician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other General Practice Physician providers in Linden
- Bruce C. Leitkam, DO490 W Broad St